Organization Active NPI

Unasource Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Troy, MI
National Provider Identifier
1386608750
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
UNASOURCE SLEEP CENTER, LLC
Practice address
4550 Investment Drive
Suite 230
Troy, MI 48098-6368
Phone
(248) 755-5522
NPI assigned
Apr 13, 2006
Last updated
Sep 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy B Kerr
Title
Managing Director
Phone
(248) 755-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

4550 Investment Drive
Suite 230
Troy, MI 48098-6368

Mailing address

3055 Kettering Blvd
Suite 219B
Moraine, OH 45439-1989
Phone (800) 346-5837

Other identifiers 3

IdentifierTypeStateIssuer
473709910MedicaidMI
7956627OtherMIAETNA
700F323810OtherMIBC/BS MI

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4550 Investment Dr
Ste 230
Troy, MI 48098
Phone (248) 265-2545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1386608750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 KETTERING BLVD",
            "address_2": "SUITE 219B",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391989",
            "telephone_number": "800-346-5837",
            "fax_number": "937-395-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DRIVE",
            "address_2": "SUITE 230",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986368",
            "telephone_number": "248-755-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNASOURCE SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "248-755-5522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473709910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7956627",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MI",
            "identifier": "700F323810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.